Which of these is not true about rotator cuff tears?
a massive tear a tear larger than 5 cm
highest incidence occurs in the geriatric population
most rotator cuff tears are caused by progressive, degenerative microtrauma
subscapularis tears occur with teres minor tears
most commonly torn rotator cuff muscle is supraspinatus
Impingement syndrome occurs when the ❌ is trapped between the ❌ and the ❌.
Which of these is true about the causes of impingement syndrome?
a misshapen acromion can narrow the subacromial space further increasing the likelihood of the supraspinatus tendon entrapment
repeated rubbing on top of humeral head can form a callus which narrows space where supraspinatus tendon sits
excessive lordosis can bring humeral head closer to acromion, decreasing space for supraspinatus tendon
rotator cuff insufficiency leads to inferior movement of the humeral head
Which of these is true about impingement syndrome?
Pain past 140 degrees of abduction is a sign of this syndrome
the subacromial space closes up during the top abduction resulting in less pain
the painful arc sign is between 80 and 135 degrees
the painful arch sign is between 135 and 170 degrees
Tendonitis of the biceps long head tendon may develop with impingement syndrome.
Detachment of the biceps tendon from the labrum most often occurs in the baseball players. It is usually very painful and is always repaired with surgery.
A SLAP tear occurs at the ❌; the tear happens from ❌ to ❌.
During a SLAP tear the supraspinatus tendon may be torn.
Conservatively most SLAP tears are repaired with debridement.
Debridement and labral repair surgeries both require very conservative movement and have difficult course of rehab.
A dislocation is a partial subluxation of the shoulder joint as a result of a structural instability.
Frozen shoulder...
is self limiting and symptoms disappear in 6 months
comes on after a traumatic event, lasts 12-18 months and requires surgery
the first 3-4 months are minimal pain with limited PROM, followed by a great deal of pain with limited AROM
after initial period of limited movement due to pain, there is a lot of stiffness and then it goes away
Which of these is not true about surgical neck fractures?
occurs more in elderly population
can be set with closed reduction
may happen as a result of a fall
the hardware for ORIF stays in the bone
Which of these is true about epicondylitis?
lateral epicondylitis occurs due to excessive wrist flexion against resistance
epicondylitis usually occurs as result of a fall
medial epicondylitis occurs due to excessive wrist flexion with no resistance
A right handed golfer may develop medial epicondylitis on their right wrist.
Which of these is not true about olecranon fractures and dislocations?
olecranon dislocations may occur with olecranon fractures
olecranon dislocations happen due to a fall with an outstretched hand with a rotational component
olecranon fracture occurs as an avulsion with the biceps tendon
olecranon fractures can happen due to a direct blow to elbow
Which of these is not true about radial head dislocation?
cannot bend elbow
cannot supinate/pronate
happens to children due to large anular ligament and small radial head
occurs when someone distract radial head from ligament
True carpal tunnel syndrome is the median nerve compression at the carpal tunnel due to a traumatic injury.
Which of these is true about rheumatoid arthritis?
diagnosis made from x-rays
chronic inflammation of tendons
MCPs of hand look subluxed
fingers drift radially
Which of these is true about orthopedic conditions that affect the hand?
De Quervain's tenosynovitis occurs due to swollen tendon sheath of extensor pollicis longus and brevis
Person's suffering from trigger finger do not have passive range of motion in the affected fingers.
Person's with Dupuytren's deformity have a contracture of the joints, commonly in the 4th and 5th digits.
Boutennier's deformity is exhibited by flexion at the DIP, extension at PIP and some extension at MCP.
Persons with Boutennier's deformity, swan neck deformity and mallet finger do not have PROM in the affected joints.
Which of these is true about open and closed reduction of colles fracture?
possible median nerve damage with open reduction
open reductions are indicated for well reduced fractures
open reductions are indicated for fractures with cartilage damage
closed reduction is more difficult to perform
Which of these is not true of CTS after colles fracture?
the median nerve was severed
fractured ends of radius put pressure on median nerve
median nerve was injured during reduction
carpal tunnel shows stiffness and swelling after casting
Which of these is true about shoulder dislocations?
most common type of shoulder dislocation occurs due to an anterior structural weakness
the most common type is an anterior dislocation
an inferior dislocation occurs due to electric shock
an anterior dislocation occurs when arm is elevated and internal rotated
The most commonly injury nerve in a shoulder dislocation is the...
axillary nerve because it wraps around head of humerus
axillary nerve because it is behind the head of humerus
median nerve because it wraps around head of humerus
radial nerve because it is behind the head of the humerus
Which of these is true about SLAP tear precautions?
during first phase after surgery there must be no active flexion of the shoulder
biceps can be strengthened after 6 weeks
patient can begin to return to sports after 13 weeks
may progress in sport specific movements after week 22
